Pinnacle Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004013 Issued in MI

Legal business name

PINNACLE EYECARE, P.C.

Practice address

139 W Lake Lansing Rd Ste 115
East Lansing, MI 48823-8525

Phone

(517) 337-1832

Fax

(517) 337-1854

NPI assigned

Jun 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Jacobs, O.D.

Title

President

Phone

(517) 337-1832

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1447411228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W LAKE LANSING RD STE 115",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238525",
            "telephone_number": "517-337-1832",
            "fax_number": "517-337-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W LAKE LANSING RD STE 115",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238525",
            "telephone_number": "517-337-1832",
            "fax_number": "517-337-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-337-1832",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900C313100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1019456",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000002155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5658590001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864792288",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944753842",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa P Pieroni Long, D.O.
• Scott Douglas Piette, DO
• Anna Therese Pignone
• Nancy L Pinagel, D.O.
• Pine Hollow Partner LLC
• Aurora Alyssa Pino
• Ria Era Monteros Pinunggan
• Paul Piper
• Robin Renwick Piper, LMSW ACSW
• Michele Alaine Pischea, MA, LLP, CAACDC

• Optometrist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.